Doctor Name: | CHIN WOO JUNG |
NPI Number: | 1831234772 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A84047 |
Business Practice Address: | 1000 W Carson St Box 480 Torrance, CA - 905022004 |
Business Phone Number: | 3102223813 |
Business Fax Number: | |
Mailing Address: | 1000 W Carson St, Box 480 TORRANCE |
State: | CA |
Postal Code: | 905022004 |
Phone Number: | 3102223813 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A84047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |